Individual
AMY MICHELLE WYNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
410 S CHESTNUT ST, SEYMOUR, IN 47274
(812) 405-2125
(812) 405-2425
Mailing address
410 S CHESTNUT ST, SEYMOUR, IN 47274
(812) 405-2125
(812) 405-2425
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71008677A
IN
Other
Enumeration date
01/09/2019
Last updated
01/09/2019
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